908 Jefferson Lane" 01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
.
. 20-2275 SAC
, 20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
?
=tiG cc, Pan S & CITY OF EAGAN
o a. , . • r -?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 a.t
PHONE. • 454-810O
' BUILDING PERMIT Receipt
To be used for ` ? ? •.? ;'?E:=? Est. Value Date
SiteAddress "t1 .TBFrEFiSM [.N
Lot 2 Block k' Sec/Sub.LEXINGTO','; I'dI1iT$
LPV
Parcel No.
m Name JQE Mi1.i.EA GM?RtlC?I0N
; Address 18133 CEDAR AVE S
0 City PAElHINGfON Phone 431-2031
OFFICE USE ONLY `
On Site Sewage Occupancy R-3 M"'?
MWCC Systsm " Zoning pD i
On Site Well (Actuary Const y^N ?
City Water x_ (Allowable) v-N
PRV Required * of Stories
Booster Pump Length 481
Depth a 1
S.F. Total
Footprint S.F.
?oName_
.
? ? Address
? City
1,- Q
U iy
W W
F =
x 6
U=
aW
<
Name _
Address
CIty.--
I hereby acknowledge that I have read this applfcation and state that the
information is cQrrect and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances.
Signature of Permittee -
A Building Permit is issued ta_ J0R M1_ F$ GQF3_T_
on tfie express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuildingONicial__._ _
APPROVALS FEES 1
Engr./Assess. Permit
(
534•00
Planner Surcharge ?S • ? I
Council Plan Review 267•00 I
Bldg. Off. SAC, City 100•00
Variance SAC, MWCC 550•00 ,
WaterConn, 550•00
?
water Meter 67.00
?
Road Unit 325-(30 ?
Treatment P1 ZQ4•W ,
Parks
TOTAL
)
2,642`00
To
Lot ?
Parcel No.
c Name
= Addre:
0
City _
o¢ Name
.
? ` Addre;
? City -
?W Name
Addre
v
d W City _
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
? r~w
NG PERMIT
;dfor '? ??`'rfGAR PH O N E: 454-8100
Receipt #
Est.Value --''?1R? Date ?
'?13?=n s4
,1g::?:`
' . . JE?FF:; `:,?,'-? ?,? ; OFFiCE USE ONLY
4 Sec/Sub. 1.EXIHC?at? POINTE
31ock On Site Sewa9e
MWCC System occupency
? 2oning
Y?
ll A
l Y•?
On Site We ctua
(
) Const
CCP1ST
Si14TIOti City Water . (Allowable) V-N
ur. -;A`? ?1?: 5 PRV Required # of Stories
FJ?R_1L.v1',
` ' i7-':: Phone 4
31-2001
Booster Pump
Length
oeptn
54 `
;'y E,?,.f'", S.F. Total
;S Footprint S.F.
Phone
APPROVALS FEES ?
Engr./Assess. Permit 4•C'0 ?
Planner _ Surcharge , ?• ? j
Council _ Plan Review 267•00 ?
BIdg.Off. _ SAC,City 100•00 '
Variance SAC,MWCC 3 50•00 ?
WaterConn. 5?.cc !
water Meter 67.00 ?
Road Unit 3ZS¦? ?
Treatment P1 204•00 !
Parks
2
642
001
TOTAL ,
`
I hereby acknowledge that I have read this application and state that the
info?mation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:_.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Permit No. Permit Noldsr Dste Tstephons s
Plumbing
•
H.v.ac. ?ir. ?° ?
Electric
?
Sottener
Inspection Dste Insp. Comments
Footings 1 ?v
Footings 11
Foundation P
Framing 12
Roofing
Rough Plbg. _?s ,
Rough Htg.
IsuL
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ. ?33 ?S Q,S
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
I '
Site
PERMIT # LL ' '? h? ?
MECHANICAL PERMIT
' CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
T PRICE PHONE: 454-8100
Name
.q AddresS.
c City Phone
Name '
c Address ? 3
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. ? M BTU
Vent CFM
Gas Piping Outlets #
Other
I FEE:
.
f. ,:. S/C:
TOTAL•
`.:
` 1
- ' +
TYPE
WORK DESCF
BLDG
IPTIDN ?
ib .
,
J
? ?
New
aes.
Mult Add-on
; Comm. Repair
Other
FEES
RES
HVAC 0-100 M BTU
-$24
00
_ .
ADDITIONAL 50 M BTU - 6.00
• y? C, ; (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERrAtT) - 1
50 EA
- .
.
COMM/IND FEE - 1oi6 OF CONTRACT FEE
'. J' APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $_50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
,
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
-_-,... -? .. . . .w? : _ • , ..--,?...R,-?, - -
' PERMIT # `?.
. • PLUMBING PERMIT ?G r r .
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRI E: , - PHONE: 454-8100 '
, ;-
Site Address •, ° J?--=?. n'"?Lr.- ?- CL?-`
Lot _4;)t/- Block Sec/Sub
. ?.
? Name
"iii Addre s
c City, ' t Phone ?. !
? Name
c Addr
ss/
3
p g
i?
City''< ` Phone,
FEES
COMM/IND FEE - i% OF CONTRACT FEE
APT BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDEIVTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STA7E SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND, $1,000.00) ?
_
?.
SIGNATURE OF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. New -
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
}
3r.?
Lavatory - $3.00
?Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - $3.00
?
Laundry Tray - $3.00 ?Floor Drains - $1.50
? '
Water Heater - $t 50
Whlripool - $3.00
-?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
1
i
50
=
'
ngs - $
.
Rough Open
FEE:
STATE S/C:
? FOR: CITY OF EAGAN GRAMD TOTAL:
t_?_ _-------------- - - - - ----- --
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
s;r; II t F 1 1."?t?1
I t t 1,14, I11P4 1 ?11 Iii l- .'NU
PERINIT SUBTYPE:
I I ''iE t ] Ni;
INSPECTION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
r ti? IJt r j; APPLICANT:
l.i1tVE r1,? t :. h c
(l;l:'! i.'I 4 14
----------------
TYPE OF WORK:
111- ">1 RIP l1IrN
I 1 NAi
e6/t t/9:a
Nr w
] N i( ?. 1&6 K 10
Permk No. Permft Holdsr Date Telephone !
SNV
PLUMBING
HVAC
ELECTRIC 93
ELECTRIC
Inspsctlon Dote Insp. Commenta
Footings I
Foundation
Freming
Roofing
Rough Plbg.
Rough Htg. -6lj1lr,(
Is,l. i!
F???ece
Fnai Htg.
Orsat Test
Rnel Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
n • •, * 4 t ?
Terfifiratp uf (D.rrupaMry
titp of eagan
loppirtlltPtlY Uf glridbwo 3wPIttDtl
Thu Certif cate issued pursuant to the requirements of Sectron 306 ojthe Uuiform Building
Code certifyeng that at [he time of issuance this structure was in compliance with the various
ordinances of the City regulating building conslruction or use. For the jollowing:
u.cwaiii.fi. SF DWG/GAR w& P,,;t ,vo. 15771
o-„p.ar rra R3/t11 Zoning agthn PD TYa conn. ?
????i- J(M MIIIZER OQVST. Addim 18133 MAR AVE, 5, FAAMCI(N
sWiaing aaa= 906 JEFFER9M iM Louliry L2+ B4, IF.XIN1Qd PC?INIl02ND
o.u: iECE?R 23, 1988
Offi&dU
POST IN A CONSPICUOUS PLACE
?,?. .,. , . . . - -
? -,
CITY OF EAGAN Permit No: 100 Date:
3830-Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121 ,
5ite Address: i ' f,4 LOx.: ., :. -
Plumber
Conn. Chg: ?
Acct Dep: ? , ?"•??°
Permit Fee:
5urcharge:
Tr. Plant Metec s?7 : ???.•
CITY OF EAGAN Permit No: 1 I 17 2 pate: 10.-. Z F_"
3830 Pilot Knob Fioad B/ P No: ".;Date: -1 ??-? .?. ?`
P.O. Box 21199
Esgan, MN 55121
Owner. 3ce tiiller Const. -
Site Address:
Plumber:_
Zaning: _
No. of Units:
nnwcc: `> ;n . Oopd
Ciry Chg: 100 . 04pd
ACCt. Dep:
Permit Fee: 17 p
Surcharge:
Misc.:
;;?.
Zoning•
No. of Units: 1
1 agres to comply with Ihe City of Eagan
Ordinartces.
By ?
3M1
CITY OF EAGAN Permit No: 10032 pate: 1 - ''1
3830 !'^ilol Knob Road Meter No: r{14 7?V 32 . Size: ac
P.O. Box 21199 Reader No:?.Q? l?? ?/_ Date: ?a-/- S?
Eagaa, MN 55121
Owner.
Site Address:s3?}g Laae ;72 xG 7 ?!tnj,
Plumber
Conn. Chg: ?opd Zoning: _
Acct Dep:_ ?5 - QOFNo, oi Units:
Permit Fee: 4
S h
urc arge. 50p ri I agree ta comply with he City ol Eagan
Tr. Plant 4444 ,?=4 Ordinances.
Meter. _
: , , . . .
Misc
-
?
. ??
By
W ATER SERVICE PERMIT
I
i agree io comply with the City of Eagan '
4rdinances.
?.. , .'.. ..... _
? CITY OF F-AGAN Permit No: 11172 Date:
3830 Pilot Knob Road g/p No: ' Date:
P.O. Box 21199
Eagan, MN 55121
Owner.
Site Address:
MWCC: 5 5??o?
I
j Zoning.
City Chg:
"
" d
O No. of Units: -
?.
upd
Acct Dep: . t
1 agree to comply with the Gty of Eagan
Permit Fee:
Ordinances.
Surcharge:
Misc.: By
L--, - SEWER SERVICE PEFtMIT ?
RESIDENTIAL
`4? BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodellRepair Reauirements
. J registered site surveys showing sq. K. of lot, sq, tL of house, and all roofed areas • 2 copies ot plan
(20°/ mazimum lot coverage allowed) • 1 set of Energy Calculations for heated addifions
• 2 copies of plan showirg 6eam 8 windav sizes; poured found design. etc.) . 1 site survey for exterior addibons & decks
• 1 set of Energy Calculations
• 3 copies of Tree Preserva6on Plan if lot platted after 7l1193
. Rim Joist Detail Options selection sheel (bld9s with 3 or less umis)
DATE l- v?T't_J ?VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS qO<b
IF MULTI•FAMILY BUILDING, HOW MANY UNITS? _
PROPERTY OWNER 1 C1r`? ND1&?Z
TYPE OF WORK C Q-S
APPLICANT
ADDRESS
PAGER #
FIREPLACE(S) '?0 _1 _2 _3
PHONE # 4A 9S;.-DD?Z-C?9 S?
ZIPCODE 9541D
CELL PHONE # C? )Z 2?Z S-a? FAX #9S -???? ?-V
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ NIINNESOTA RliLES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RtiLES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plucnbine Sysccin Includes:
Mechanical Contractor:
Nlcchariical Systcm Includcs:
Sewer/Water Contractor:
_ Water Softener _
W1ter I-Ieater _
No. oF 13aths
Air Coiiditioning
Hcat Rccovcry System
Phone #
Phone #
Fce: $90.00
Pce: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is corre ?ag[
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received
Tree Preservation Plan Received Not Required _
Phone #:
Liuvn Sprinklcr
No. of R.I. Batlis
- ?i
Updated v01
NO CO PER S& W CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15771
PH ONE: 454-8100 ^
BUILDING PERMIT Receipt# ?g)& ??
7o be used tor SF DWG/GAR Est. Value $90, 000 Date OCTOBER 24 ,1988
Site Address 908 JEFFERSON LN
Lat z Block 4 Sec/Sub.LEXINGTON POINTE
ZND-
Parcel No.
olName JOE MILLER CONSTRUCTION I
Address _ 18133 CEDAR AVE S
City FARMINGTON Phone 431-2001
a Name_
.o
? a Address
1 City
Name
Address
City Phone
I hereby acknowledge that I have reatl ihis appLCation antl state that the
mformahon is correct and agree to compty with all apphcable State ol
M9nesota5tatutesand y- onance?
Si nature of Permitte
A ewltling Permd is is5ued to -,/-U4F-MII+LER _C9N5
on ihe express cond ition that all work shall be tlone in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordmances.
Buiiding Olfiaal--h"A-"kt-__-_
OPFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-:
MWCCSystem XZoning PD
On Sife Well _ (Actual) Const V-N
Ciry Water x (Allowable) V-N
PRV Required _ # of Stories
8ooster Pump _ Length 481
oepm 54'
S.F. Total
Footprint 5 F.
APPROVALS FEES
Engr./Assess._ Permit 534.00
Planner Surcharge 45.00
Council Plan fieview 267.00
81dg.Off SAC, City 100.00
variance SAC, MwCC 550.00
Water Conn. 550.00
Water Meter _67.00
RoadUnrt 395_fl0
Treatment P7 204.00
Parks
TOTAL 2,642.00
707Q3 /
'?4 ,
Rcyuest Fire No. Rough-in lnspection
/?G? fl iretl? ? ReaAY Nqx '? Will NotiN Inspector
Wh
R
tl
7
0
en
ee
y
Yes ? No
I$ licensed contractor ? owner hereby request inspection of above eledrical work at:
.bb Atltl2ss (SVeet, Boz Or RoNe Na.) Cay
(?0'j se IPP-t .s F'4y, .1
Sec[ion No. Towrrship N. or No Rarge No Counry
5. OO?
O¢upant (PRINT)
m:??en ?ons?' phone No
y3/-abo(
Power Supplier f? Mtlress
ElecLical Camractor (COmpenry Name
/I?P.' .ra.-, ?/m<,?•,?. ? ? CoMracior5 Licen9e No
Nl la ?d
Maing Atldress (Coniractor or Owrer MaWrg InalallaGon)
C-"? <s3irr
AWFar¢ gn Comra king Inslellation)
. 6 \ Phone Number (!Q?I
? 1 :z ? F ? V V
MINNESOTp STATE BOARO OF CTHICffY THIS INSPECTION REQUEST WILL NOT
GAggsMkhvay Bltlg. - Fl 1]3 . BE ACCEPTEO BV 7HE STATE BOARD
ieTl Unhrenky Ave., SL P ul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Gho. (612)642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-0?
? See inshuchons for completmg this form on back at yellow copy.
3 "X" Below Work Covered by This Request 'Z" 33 7
ew Adtl Rep. ?paoiBUiMing AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farrn ' Air Conditioner
Other (specdy) Contracto,r§ Remarks.
Compute Inspectron Fee 8elow:
# Olher Fee # Service Entrance Size Fea # CircuitslFeeders Fee
Swimming Pool / 0 to 200 Amps /, / 0 to 100 Amps 3
Transtormers Above 200 _ Amps Above t00 _ Amps
Signs Inspeaor§ U. Onry. TOTAL
Irrigatron Booms ?0 Ly -IS
SpeGal Inspection
Alarm/Communication
Othar Fee
I, the Electrical Inspector, hereby
ceNry that the above inspection has
been made. nouAhin r
Fnal Dat t`tuL
Daie
?-
OFFlCE USE ONp V e
This request void 18 moMhe imm
REQUEST FOR ELECTRICAL INSPECTION
b, See mSVUCtions br completmg iMS form on back ol yellow cropy
?M 7 3 7 4 3_- 'X" Below Work Covered by This Request
_t
? EB-00001-0B
ew A d Rey. TypeofBmlding pppliancesWired EqwpmentWVed
Home Range Temporary Service
DupleX Watef Heater Etectnc Heabng
Apt Building Dryer Load Management
Comm.Rndustnal Furnace other (Specdy)
Farm Air Condilloner
aner (soeo?ry) Contractor$ flamarks .QL'e -"-£n? ? ?/J • S
Compute Inspection Fee Below.
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps .7
Transformers Atwve 200 _ Amps Above 100 _ Amps
SignS inspecmr8 Use Onry TOTAL c?s?
Irrigatwn Booms '?(? ?
Speaal Inspechon
Alarm/Communication THIS INSTALLATION MAY BE ? RE6 DIS NNECTED IF NOT
Other Fee COMPLETED WIT 1 O
I, the Electrical Inspector, hereby
ht
th
h
b Rough-rn Date
Y
cer
y
at t
e a
ove inspection has
been made. F,,,al Date C?
C
OFFICE USE ONLY
This request voitl 18 months imm
,- i ily .o_ 'j ./ .o , n i - .o
M 73743 00c1 4?1 y, oS=?-? - ' yc • z ----, %?,? "'0
Request Dete - A. N. Rough-in Inspeciwn
Re iretl9 NOTICE: Vou Musl Call Electncal Inspeclor
It A Rough-In Inspechon
u No
X ?s Feqwre0
d
t
?
94
t
eense
con
rac
or
owner hereby request inspection of above electrical work at:
Jop4d tlres ireet. Box or Rout No )
GI . ?Sc?x Qty
Section No Township Name or No. Range No. ?ry ??
Occupant(PRINn phone PJo
ys?z-7a13
Power Suppliar h ,
? v/? Adtlress
ElecYncal Contractor (COmpany Namel ConVada§ ?cens
e
N
o
[
C ? L ?
?
/
7
? ???CJ a[-
ss (ConVacror or Owner Meking Installation) ?j
wG
?
?
fK
J
? .
7?
#rjz
ignaWre (COn lredor/Owner Meking Installa ion)
? Phone Number ?
77e
MINNESOTA TATE BOARO OF ELECTPICITV THIS INSPECTION REOl1EST WILL NOT
GriggsMi ay Bltlg. - Hoom 5413 BE ACCEPTED BV THE STATE BOARD
1827 Universiy Ave., SL Paul, MN 5570a UNLESS PROPEfi INSPECTION FEE IS
Phone (612) 662-08W ENCLOSED.
APFLiC?ATION FQR PERMIT
SEWER ANQ/QR WATER CONNECTION
' NOTE: PA1T7QT1` OF FEE AT TSME OF
; neriscaTTOv ooES Nar cON- ;
STZTS7T'E APPR(TJAL OF PERFffT. ?
r
? INSPFCi'ION OF SEKIER ANID/OR FATER
? zNgTntt.r.Txors wILL Nar ae scMn.m ;
? IRTfIL PIINIIT H715 BP.Hi APPRU/ID. a*.
:xw?.?+s:::*?warit:+?w?f.+rr.???r+?a+ttw
RV oF aco'aP9
(PLEASE PRINT
1) PROPII22Y ADDRESS:
FJ
iFrAT DFSCRIPTION: . -2 S/ I I
(Lot Block Su??ivision or Tax Parcel ID
IF EXISTING STRCCTURE, DATE ?
PRESENT ZONING/PROPOSID L'SE:
Q CO^MRCIAL/RETAIL/OFFICE
Q INDiSTRIAL
Q INSTITC]TIONAL/GQVEftNMENT
)F ORIGINAL SOILDING PERMIT ISSOANCE:
(Nbnt Year
I =,IVR-1 SINGLE FAMILY
? R-2 DL?PLEX (3WO L'nits)
? R-3 TCWNHOC'SE (Three + Cnits) ( Units)
? R-4 APARTMENT/CODIDOMINIL'M ( Cnits)
2) NAME: --fee- ^`&b Ca,?+ '/'
ADnREss: a,K
CITY, STATE, ZIP:
PHONE: c/3/ -?aAJ
3) ? i:?• NF1ME:
Al]DRESS :
CITY, STATE, ZIP: /91r141t fDuvc_
PHONE: _ V9 3-et ?7 S? MASTER LICENSE # Hl o??!o S?
4)
NANIE: S A&44 r-- .??5 L 2- 7
ADDRESS:
CITY, STAT'E, ZIP:
PHONE:
Ij Active
EYpired
Not recordec
Sta InT?itia
07m. .i ?e
[?-CONNECTION TO CITY SEWER E?fr-CONNECTION TO CITY WATER O 0'PHER
6) ?**x*****??.r?:?*x+**t?*?*rw*:t?*+****x*??****?*t?***,t***?**,r***?+*???*:r*:r**+*?r*t******:r****:t*,?**?+y
*
*k THE GOLD COPY OF 'iHE FERMIT WILL SE SENf DIFtFCI'LY TO PUEI,IC WDRKS TO FACILZTATE MEPER PICK-LTP. ?
* PLEASE ALS,OW 7WD WURKING DAYS FOR PROCFSSING. SOMEONE FROM TfM CITY WILL CONTACf YCK? IF THERE i
* ARE ANY PROBLEhS. '
?****,?**?:**x****i.,t?*****+??*x*x?:********:r??**x?****?****#**x****+***?****?*?***+**??*?*********?;
FOR CITY USE OIVLY
PERMIT 4 ISSCED
? E7-7
w/Bldg. Permit F°ES:
S S /O - 5"0
$ l? ?cr-7) $
$ $
$ $
$ $ ? rS L?-d
$ $
$ S.S O '0? $
$ ?c S? wD $
$ $
$ $
$ $
$ $
$ o7-
$ $
$ $ t) TOTAL
3
9
RECEIPT# - RECEIPT
DOES GTILITY CONNECTION REQUIRE EXCAVATION IN PPBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PCBLIC
? ROADWAY" ML'ST BE ISSUED BY THE ENGINEERING
LVO DIVISION. LIST AS A CONDITION.
SCBJECT TO THE FOLLOWING CONDITZONS:
APPROVED BY:
TITLE:
SEWER PERMIT (INCLCDE SCRCHARGE)
WATER PERMIT (INCLCDE SL'RCHARGE)
WATER METER/COPPERAORN/OLTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOONT DEPOSIT - SEWER
ACCOONT DEPOSIT - 6VATER
wAc
SAC
TRLNK WATER ASSESSMENT
TRL'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRCNK SEWER
LATERAL BENiFIT/TRi;NK WATER
WATER TREATMENT PLANT SI;RCHARGE
OTHER:
DATE: /Q12- 6 / P S7
CLAIM VOUCHER - REFUND REQLTEST
CI1'I' OF EAGAN
MAKE CHECK PAYABLE TO: AMERICAN SUII,DING CONTRACTORS
ADDRESS: 12247 TTICOLLET AVENUE S
BURNSVII,LE MN 55337
LOCATION: 908 JEFFE]LSpN LANE P.I.D./LEGAL: LT 1 BL 4 LEX PTE 2ND
RECEIPT #/DATE: 134823/7-24-00 VALUATION: $8,000.00
REASON FOR REFUND; DUPLICATE PERMIIT PERNIIT #: 41859
TYPE OF REFUND;
Electrical Permit
Plumbing Permit
Mechanical Pemrit
Suilding Permit Fee
Plau Review Fee
SAC (MC/WS)
SAC (Ciry)
SAC (Admin)
Water Connection
Sewer Pemrit
Water Permit
Account Deposit
W ater Meter
Water Treatrnent
3211-9001
3212-9001
3213-9001
3210-9001
3422-9001
2275-9220
3866-9379
3446-9001
3865-9220
3743-9220
3713-9220
2252-9220
3716-9220
3868-9220
Surchazge 2155-9001
Utility Acct Overpayment 2250-9220
Glurb Box Deposit Refund 2253-9220
Conslxuction Meter Dep Refund 2254-9220
Water Usage Charge 3711-9220
Oiher
138.25
$
$
$
TOTAL $ 13825
I declaze under the penalties of law that this account, clauq or demand is just and that no part of it has been paid.
(:::: --? L, ?' ? i -) - -
SIGNATURE ? a /.?Q? o?_ _
August 18 2000
DATE
r I
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: BuzLoING
Permit Number: 023311
Date Issued: 0 4/ 15 / 9 4
SITE ADDRESS:
908 JEFFERSON LANE
LOT: 2 BLOCK: 4
LEXINGTON POINTE 2ND
P.I.N.: 10-45071-620-04
DESCRIPTION:
Buildin?g-_Permit Type
Building Wo.rk Type
i"
?
/
?
'
BASEMENT FINTSM
ALTERATION
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR AMY PLUMBING OR ELECTRZCAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$35.00
$.S0
Fee $5.00
$40.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
CUSTpM CLASSIC BLDRS 14632946 0007448 NOVIT2KI TOM
22380 BERRTNG AVE 908 JEFFERSON LN
FARMINGTON MN 55024 EA6AN MN
(612) 463-2946 (612)452-7213
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinanaes.
I
APPLICANT/PERMITEE SIGNATUFE
r
?
ISSU5 BY:9 NATUR-
I
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: 2 BLOCK:
908 JEFFER50N LANE
LExINGTON POINTE 2ND
PERMIT SUBTYPE:
BASEMENT FINISH
PERMITTYPE: auiLornG
PermitNumber 023311
Date Issued: 0 4/ 15 / 9 4
APPLICANT:
q
CUSTOM CLASSIC BL ORS
(612) 463-2946
TYPE OF WORK:
AI.TERATSON
INSPECTION
FRAMING .. .
INSULATION ,.
ROUGM IN PLBG FINAL
REMARKS: SEPARATE PERMTTS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
F
L
?
J
?
, l-
n31
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
r^qp?,..,
j 4 ;i. ?r 0 -----------?--
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date d 3 / 30 Valuation of work 000. vo
Site Address: 1 02 fiEFcr-eso1? z-ANL" -
STREET SUITE #
Tenant Name: (commercial only) _
LOT SLOCR 4
T SUBD.
f P.I.D. #
Descri tion of work: QS ?-+?
The applicant is: 0 Owner Contractor ? Other (Describe)
Name (Vdtl10n'l Phone
Property LnsT FIRST
Owner Address ?0 SLe=E,PSo/?
STREET STE #
City /:-? 4 6/1 /L/ State /1/. Zip
Company C.ll S! 0/m Ca 4'51 C 4v&ilas Phone ?L 3-2 9 5',4
Contractor Address D-2 39 (D 6zt eAo /n/6 116r,- License # 00074vA Exp.i__fL_215
City T_f{?M t/1/676/? State em /1/ . Z i p
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
5ewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and a9ree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: l.Svw? a
PERMIT cr S'60?- 17
kplTY"OF EAGAN & -i U -- 97)
3830 Pilot Knob Road PERMIT TYPE: Bu i Lo i N G
Eagan, Minnesota 55123 PermitNum6er 021197
(612) 681-4675 Date Issued: 0 6/ 11 / 9 3
SITE ADDRESS:
908 JEFFERSON LANE
LOT: 2 BLOCK: 4
LEXINGTON POINTE 2ND
P.I.N.: 10-45071-020-04
DESCRIPTION:
10 X 22 & 6 X 10
B,-ttildin§ Permit Type DECK
9uilding W'ork Type NEW
--
,?
Q j-1I? ®rD
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fes $25.50
CONTRACTOR:
OWNER: - APPlicanc -
NOVITZKI THOMAS
908 JEFFERSON LANE
EAGAN MN
(612)727-4747
I hereby acknowledge that Z have read this application and state that the
infiormation is aorrect and agrse to comply with ail applicable 5tate nfi Mn.
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERM EE GNATUPE
ISSUED BV: SI NATUR
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: z BLOCK:
908 JEFFERSON LANE
LEXINGTON POINTE 2ND
PERMIT SUBTYPE:
DECK
?
L
PERMIT TYPE:
Permit Number:
Date Issued:
4 APPLICANT:
NOVITZKI
(612) 727-4747
TYPE OF WORK:
DE3CRIPTION
iinriur Mbt.1: ?A nr. 1 Fi,
4:fli, ?J11 d I W?i' ij'b a% 111f'I
f.'l.'41'' 1 .,-.IPGAJ ?NSo 4A
i' e' Vi q K h U F VI I:_ p1 p
i 01 J ?al Ot.P • d
61V(lbi f'JN'
BUILDING
021197
06/11/93
THOMAS
NEW
10 X 22 & 6 X 10
?
?
(J1,iJo\
l3(it('UtV„'
e._ s . I
V
REACTIVATE -D,10
PERMIT #
ci IY Ur r.p?uP?n
1893 BUILDING PER IT
681-4675
APPLICATIO a s S o
5IN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site su?,veys, 1 copygqt ergy
calcs. .
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Jun?, / 3 / 19a3 Yaluatian of work
Site Address: ?025 JejA'S O-n
STREET 8UITE /
Tenant Name: (commercial only)
LOT Z BLOCK T SUBD. 4s'x?ny??7-? P.I.D. k
Z nc?
Descri tion of work: DeC?--
The applicant is: ? Owner 13"fontractor O Other (Describe)
Name Nc)v,iJ)' Phone HSZ?z?3(hl
Property LAST FIRST Iz-7-41v'](W?
Owner Address ? 0 <?? j e
STREET STE 0
State M^' Zip 123
City E-0!?
Company a n c ov' c?hv, -tn? Phone 3(J
Contractor Address C001 L• 'D 5+ SCtMe'License # Exp.
City RI ci'? M'J State M^? Zip sS1A73
Company Phone
Architect/
Englneer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
? 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
? 31 New
32 Addition
O 33 Alterations
? 34 Repair
?
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
pi 15 Deck
0 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy =7
Zoning
# of Stories
Length X2 Z
Depth _/b p
APPROVALS
Planning
Engineering
Basement sq. ft.
lst F1. sq. ft.
2nd fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
REQUIRED INSPECTIONS
? Site ' l?.Footing
? Wallboard Final
13 Framing
O Draintile
143
/
a
? Insulation
O Fireplace
Permit fee 25`, oo v.wee+a,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
S
D 16 Basement Finish
? 17 Swim Pool
O 18 Comn./Ind.
? 19 Cortun./Ind. Misc.
0 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ?J-SO, FOR TO, '. .UOMES AND
CONDOS WFF-N PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXT[JRES
I_ SHOWER
_I WATER CLOSET
BATH IbB__
l LAVATORY
YcffeHEN SINK
LAUNDRY TRAY
?? ? ? 1 LVV1\ - 1?C111?
;
'? +?. • GAS ING OUTLET:*
',,? y'
?i"?,? ;.? .;? . ` ??! , . •. GH. OPENINGS•
WATER SOFTENER
PRIVATE DISP. • a,r.a;.. uc.
U.G. SPRINKLER • home unda mnst.
STATESURCHARGE
TOTAL:
13ACH TUTAL
3.00
3.00
3.00 ? .C
3.00
3.90
3.00
''3:(l0*""'?'- - ?
,; ?:Zi50?s,?'?,•.,;?±,. 5:00
20.0(l
20:00
.50
Irr.-57-
SITE ADDRESS: 90'8 JEFFERSON LANE ' OWNER NAME: ToM NoviTSF;z
INSTALLER: sTATE r4ECHANICAL INC.
ADDRESS: 5050 W 220TH ST.
CI.t.Y: FARMINGTON STATE: MN Zip CpDE, 55024 _
? : _
PHONE #: ( ) q? ???RE)
- -
SIGN OF»PE?RR4dZTEE
1994 PLUMBING PERMIT (RESIDENI7AL)
CITY OF EAGAN
3930 PIIAT KNUB RD
EAGAN MN 55122
(612) 681-4675
. ;.
1988 BUILDING PERMIT APPLICATION - CITY DF EAGAN
SINGLE FAMILY DWELLINGS
?6 11 r7 '
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE [JNTTS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIQNS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIQNS dCj $ 0 Na?.
To Be Used For: i.? Valuation. -- Date:
Site Address
Lot o, Block ?
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor G
Address IgIl,
City/Zip Code
Phone y3
Arch./Engr.
Address
City/Zip Code I
?
Phone Ik ?
Q d0 Qve1C:6 UJG UNLZ
On site sewage_ Oceupancy
MWCC system ? Zoning _?-
On site well Actual Const
City water ? Allowable
PRV required _ ll of stories
Hooster Pump _ Length ?
Depth 3-y
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit .?3 l
Planner Surcharge
Couneil Plan Review 26
Bldg. Off. /?aZj SAC, City /,,70
Variance SAC, MWCC sS'o
Water Conn 55?
Water Meter 0
Road Unit 3 2S
Treatment Pl 'z o y
Parks
? Copies
TOTAL
534•00+
? 45•00+
> 26'7•00+
? ij79s-ao+
l? ?-,:2P642•OG*
vJ?
r
•?PVt ?
?-
z%k
._?---
/2??'? /3=
C? ? r
,
/Zk G =' 72
133Z.?- ?/S =
?cr
_._--
2Yka2
.
. , ' uiTx ur' BUiLDINa llEPARTHEll'P
EXTERIOR ENVII,OPE AVERA(3E IIU II C014PUTATION
(To be suhrnitted with building permit application)
One or Two Family Dwelling Ovmer
All Other
Contractor _'?Epg fAt-(„E'lez, US'r
LINEAL FEET OF ??
EXPOSED YlALL SGE toolZ? ?jJ?E? ft.
OPAQUE WALL
Detail
reference
from
attached
sheete
Site Address
Date Phone
above grade = 2 5 Zo• od ?,
TOT/tL EXPOSED WALL AREA SQ. FT.
CONSTRUCTION: "U" Value x Area
?Rf?n/c IIvII .043 x sQ.
flll° . 0710 x SG2.
4)N1 ilU?? .04.0 X SQ
.
np?? x SQ.
uUu x SQ.
npii x SQ
.
FT. I -ZO. , (U) (A)
FT. 1o7?ZD=
0.11 FT. 132. So=-.L? 3 LSU) (A)
FT. _ (U) (14)
FT. _ ([T) (A)
FT. - (U) (A)
WINDOWS: "Ull Value x Area
P1ake & Type JI,?StJL, eSI?T "Un_ x SQ. FT. b-Q-.SO= (09,50 (U) (A)
ft u uUll x Sq. FT. - (U)(A)
u n n[jn _
it x SQ. FT. _ (U) (A)
"u" x SQ. FT. _ (U)(A)
DOORS: "Ull Value x Area
41a!ce & Type GIIfSUj- I npff •14" x SQ.
PaTin itull ,47 x sQ.
x SQ.
i? ti _ uUn X SQ
.
ToTat,s 23ZO-00 SQ,
TOTAL AREA: Z(p0 FT., 9.00 = $6O (U) (A)
AVERA(3E "U"
TOTAL (U)(A) VALUES 1$9S10 _
DIVIDED HY TOTAL PIpLL AREA 237-Oi00
AVERA(3E "U ,115 leas for 1&2 family dwellinga
ROOF/CEILINas
FT. 2 0 = 19(U)(A)
FT. - (U) (A)
FT. _ (U)(A)
r'T._ IPlS•SO (U)(A)
Detail reference VIUll .OLf x SQ. FT.IZ(DO = 26" ?U)(A)
from IIUII x SQ. FT. ? (U) (A)
attached sheeta. loUt$
x
SQ.
FT, - (U)(A)
Describe openings toUtt x SQ. FT. - (U)(A)
in roof. ??U?? x SQ. FT. - (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY 21po7c-,7AV2 Z?O 2(1.4{p`VYs>
TOTAI, ROOF/CEILIN(1 AREA /Z(pd •OZI
AVERA(iE IIU1,025 or ventilated roofe. -
n W or. SF??T 11
?'yRoss ?XPbS?D
/g.s x ? 34+34+4?0?-410?
•?7 ?c ( 34 t3¢ t 4,69 t9-lv? = 107. Zo ?
. 83 1<1 (34 f 34- f 910 ?¢ln? = ? 32. go --)4zz
klirlQowS
I69 x3lo = 4.0
x 4=
I(o. o0
ZOx3?0 - S.O x ?p = .3D.pp
24 x3lv =- lo.o x 4= Z4.vo
Z¢x4-S ? g•O X Co = 98,ao
2ox`?S - (0-7 x 4? z(o. go
. .. .. .:??44: o , .
j' src• w/5?• = 28,ao
Z? 5'lL• 5E? = Z?,dO •
PATio = 4z,oo
`?l•?o ?
L,5( EYC?Eb L?qU. EQlMth,
67905,S wq&L 23ZO•oo
L?sS L4011c, 10
777o
?,
?, K?rYI 13z.so
1NDW'S 144, go -47S.8o
20
?
f-PP-E
8 x S = ?4
, / z(oo.c,o ?
• Detetmining "Ull valueB at Roof, Wallp Rims and Conc. Block
ROOF/CEILIN4 R VALUE
1.) Interior Air Y'ilm 0.61
2.) 5/8t, ayp. Bd. .56
3.) Inaulation 4.f, pp
4.1
5.) Exterior Air Film .61
(STILL)
upa = 1IR= IO?I '1'OTAL (R)= c,-.C"7Q
' r?
WALL R VALUE
6.) Interior Air Film 0,68
?.) 1" 4YP• sd. .45
8.) Ineulation 19,00
'9.) Pon.t=P,rr l.o?.
10.) hfaeonite Siding .6
11.) Exterior Air Film .17
iiun = 1/R=. .O`I 310 TOTAL (R)=Zj.O j
RII3 (R) VALUE
12.) Interior Air Film 0.68
13.) Ineulation 11716p
14.) 2" Fir Rim Joiat 1.88
15• ) .P?vl1,T' ?iT? Z.o
16.) Masonite Siding 6V
170 Exterior Air Film .17
liUll = 1/R= , n1,? TOTAL (R)- Z4 411.
_...i_,
._.? •
?
FOUtIDATION R VALW
18.) Interior Air Film 0.68
19.)
20. ) ,e-u sr,????? ll o0
zl.) 12" Concrete Block 1.28
22.)
23.) Exterior Air Film .17
iqUit = 1/R= a,07? ToTxt, (R)= /,?./?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 15_7
651•6814675
New CanslnieMon Reauiremenh
, -?49 a3 Remodal/Reoair Reaulraments
? 3 registered dte wrveys atwwing sq. B. of lot, aq. H. ol house 2 copies of pian
antl gll rooletl areos (20% maximum lot coveraae aliowed) ??? p? 1 sef of energy calculoriom lor heatetl addlHw?s
? 4 coples ot plans (slww beam & window aizes; poureci Ind. design; etc.)? 1 aBe wrvey la extedw addifions & tlecks
? 1 aef ot energy calculadorn
? J coples W tree preaervatlon plan il bt plaHetl aNer 7/ I/93 ,
DATE: ? Z-(-GCi CONSTRUCTION COST: ?7 SOC?/^
DESCRIPTION OF WORK: "fe A'- XF- z?A/aIf multt-famity bldg., how many unifs?
STREET ADDRESS: _f`' d ? J-el*Rlsdh L,
LOi: ? BLOCK: H SUBD./P.I.D. #:
r`_
PRorEanr
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: /?ll0?4-.0C; 1?/vi pnon?6S/-`/?-7?l3
Last First /
Sheet
V4
ay .1
Company:_Q
Street Address
Ciy Qlfi
Company:_
Telephone #: (
Sheet Addresa: Regishaflon ri:
Ciry
State:
Sewer/water Iicensed plumber (if insWllina sewer/water): Phone #:
Lp:
I hereby ackrwwledge that I have read lhis applicatfon, state thaf the informafion is cortect, and agree to compry wilh allappGcableSfate
of Minnesota Stafutes and Cify of Eagan Ordinances.
Signature of ApplicanY.
OFFICE USE ONLY
zip: S'S/-+-3
#: 9sz 170-7-C9s1
(area code)
License lt '?-G16r/3 $'3 Exp.
M zip: 3`3-33 ?
v
Name:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _' Not Required
41500 - G'L'1-S
?1
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
New Corufiuctlon Reauiremenh
cirv oF EacaN l A-
3830 PILOT KNOB RD - 45122 ? ?
851-681-4875 ? ' ?_, , ;?" ?_
-
? p? Remafel/Reoalr Reaulremenh
vn
> 3 reylsfered slfe wrveYs showlny aq. fL d bl, eq. tt. of house ?. 2 coplea of plan
a,a gu roorea ? canx ??, bt ?varo? on?.m 7 19- o o i set a.neror cacwanons ror neafta adaa«,s
> 2 eopies ol plana (atww beam & wlntbw sizas; poured fnd. deslfln: etc.) 1 site wrveY tor extedor addiMOns d decks
> t aet of energy calcWaHOna
> 3 eopfas W hee preservalb plan tt IW plaMed alter 1/1/93
pqh; -7 ? CONSTRUCTION COST: ??1_1r_n
n /\ i+ nnn
DESCRIPTION OF WORK: (.e7O r-: "-
STREETADDRESS: '!v0 _J?
LOT: 2 BLOCK: SUBD./P.I.D.
Name:_ 61w, 1 1 "zKi ^T m Phone #: 651- `7a /3
PROPERTY last Ftrst
OWNER qco T? ce'ers0n Lcn e
SfreetAddress:
?-7a A4 Cl Stafe: Zip:
1 i/ tv
Ci1y -
45a - ?7
C
& n
fICYJ/1 C7UI I_I
ILY(YlG ? ??OfS Phone#: AW-f- MOW-
. ompany: ,
(area code)
corrrRacroR SheetAddress: 1 1
_I7
licn??ef
VP s_ ucense u 69 3Exa. ?L
miv t
t Zip: ?553-7
m /
ciN . a:
S
a _
ARCHITECT/
ENGINEER
Company:
Name:
Telephone i: ( )
Skeet Address: Regishation 0:
CMy State: ZIP:
Sewerlwa[er licensed plumber (if lnstallina sewer/waterl: Phone #:
I hereby acknowiedye that 1 have read this appBcaHon, state thaf 1he Infortnaiion's corted, and agree to comPly wHh aD apPlicable Stat
of Minnesota Stalutea and City of Eaqan Ordinanees.
Signalure of Applicon j„y?
Certificates of Survey Received _
Tree Preservation Plan Received _
OFPICE USE ONLY
Yes _,&/Na Yes - No 12Not Required
/??
RR-17R
LEGAL DESCRIPTlQN: Lor2,BLocK 4, L-EXINGTON POINTE 2ND
ACCORDING TO THE. RECORDED PLAT
THERFOF QAKOTA COUNTY,MINNESOTA
Y
, JEF F
?
,
Z?=0026'08..„?.879.86 n?
i^,=844.54 ,, t n= 54° 4<
L=6.?32 I? -
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s?s as ? ?
m a
24.? ? 88006 G
(fOPHtI)CK) 24
„r
:i , saz.ee N
I n, G-0Rqce ?
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I 5 ?°
PROF
i3'
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GHAOE 0 IB?A.06 12' ?
LOOKOUT
WINDOW tr. i?
Lr, x6?7.76 `
e
/DRAINAGE
B UTII_ITY 878 14
EASEMEN7?
877.26
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vJ
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LEGEND
o DENOTES IRON MONUhEWT
? DENOTES WOOD HU8 SET
DENOTES EXISTING SPOT
ELE VATIOPI
DENOTES PROPQSED SPOT
ELEVATIOM
? OENOTES DRAINAGE DlRECTION
i haroby cmrti4y tAat Yhia ¢urvey,plan or
ropor4 was prap(irod by mm qr under my
diroct aupervision and ihctf Iarn a duly
Registored LanQ Surveqor tander tAo
Laims ot ?he State of Minnaaota.
? Ieao ss /
? 6' Ar)°).
a ?
2' S
i
?
?
h i
y ?079.16
1¦ 879.26
28.19'so
i r •? T ?
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2. D"r. v11
06 5 Ff ?v.x-? 1.01 G?u
w.tl mei 6u,ld,^11
SCALE: I"=30'
PROPOSED SPLIT ENTRY W/0 I
INVERT ELEVA710N AT SERVICE EXTENSION= ?
PROPOSED GARAGE FLOOR ELEVATION = 9850
PROPOSED FIRST FLOOR ELEVATIOPd = se55
PFiOPQSED BASEAAENT FLOOR = 9ai.5
ELEVATION
Ii I
NOTE' VERIFY ALL FLOOR iiEIGHTS WITH
"`- FINAL HOU5E PLAWS '
Bradlay J. Owiffion, PAn. Rog. Pdo. 13235
Date = t b 2.Q'/?
, JEF F
?
?879.86 N
A
1 w _ GAO?n ?
TRI-LAND C0. gITE PLAN FOR:
SURVEYING
SERVICES JOSEPH MILLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION; LOT_?_,BLoCK 4, LEXINGTON POINTE 2ND
ACCORDING 70 T E RECORDED PLAT
THEREOF A A COUNTY,MINNESOTA
A=0°26'08"
R=844.54 ; ,
L-6.42 `
e-i9.as /
?
(TOP BLOCK)
•+? 882.86
7? i M
878.26 DIRT
GRADE 0
LOOKOUT
WINDOW
s
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r ro a
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seo.oe ?
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GAqqGe
88-178
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N
? 23.83, Z8.06 ? ? f2' coQ17'
2 87fl56 T `
x 877.76
I /DRAINAGE oh
/ 9 UTIIITY 878.16 Q?
EASEMENT ?
K?
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b
N 63e S os, e?
.yo \
LEGEN^
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTIN6 SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 harsby ce?fify that ihis survey,plan or
report was prepared by me or under my
direct supervision and ihat I om a duly
Reqistered Land Surveyor under fhe
Laws of the State of Minnesoto.
/v
879.16
.
,
s? xe?.ze
?
25.1ft -
„
BY-??
/ Date ._
v EAGA?
11.38?a ?" (1
• 1
Bradley J. Sii's/jion, Mn. Rep. No.
Date ??ggl"
SCALE? I"=30'
PROPOSEO SPLIT ENTRY W/0
INVERT EI..EVATfON AT SErZVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 9e5.0
PROPOSED FIRST FLOOR ELEVATION = 9e55
PROPOSED BASEMENT FLOOR = 981.5
ELEVATION
NOTE * VERIFY ALL FLOOR HEiGHTS WITH
FINAL HOUSE PLANS
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108395
Date Issued:12/05/2012
Permit Category:ePermit
Site Address: 908 Jefferson Lane
Lot:2 Block: 4 Addition: Lexington Pointe 2nd
PID:10-45071-04-020
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Novitzki
908 Jefferson Lane
Eagan MN 55123
Mills Construction
4215 23rd Ave.
Minneapolis MN 55407
(612) 366-0184
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
��� r-__-.-------------+ ��.
``C I For Office Use �
� �v_ ��" ) � Permit#: �,1�� � � C) j
Clty of ����� ,�. ; . �
Permi#Fee: . �
3830 Pilot Knob Road � � t�� � �
Eagan MN 55122 .�..,._.. � �� � � Date Received: I
Phone: (651)675-5675 ��-������'� I i
Fax: (651)675-5694 I Staff: �
J�� � � ���� �----------------� II
2015 RESIDENTIAL BUILDING PERMIT APPLICATION �
Date: �P"25�s Site Address: g�� ��T �Y�h Ln ' Unit#:
� ^^�� 1�
� Name� ¢ �y<<
�� �� . /�� y �OvITL.�C� Phone: Lo��'�.����Z,Z7 (a]- M,
�i�/ ��
` Address/Cit i z� ���'�-�'S o,r� L►� • (o Sl-5�'2-7 5g Z Su,, �.
����`� Y p: ��� �
� ,
� � Applicant is: � Owner Gontractor.
� ` �'e. lac�►1 cl�tlC f�eu� �� �n -fe�of in r �n
�.����� Description of work: P 4 _ � p 9 �� � �
�� �tl 1"QI S t S . �/1
l�� y _
� . Construction Cost: �,��CJ Multi-Family Building: (Yes /No��)
� ;� f � �n1
� Company: � ��r / Contact: .
l ��
°" Address: City:
���r��!"
, �, � �
= State: Zip: Phone: Email:
`: License#: Lead Certi�cate#:
ff the project is exempt from lead certification, please explain why:
1-�-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
tn the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�4t�'}';��P�����c�r���tl�t���i�`y��u�r�������`����°�����ar�t�� ��i�r����' '
�t��'��r��►� ;��e����d����'p��',��� t���`�`��f�t����r*��
� ��� ::_: �� +� +�i���` ;�����.��'��`�
�. _ ,.. . .
�� _ ���
;... __ x... ,« :���,._.. � y ;�.
2 F.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of.underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �.rtdro� M. �'o v i�Lk i X ���.tQ(,t�ec.�'j ,
ApplicanYs Printed Name Applicant's Signature
(I�lOM11,s G- NQV/�Z'K I Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family , _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi ' � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
�( Replace _ Repair - _ Egress Window _ Water Damage
_ Retaining Wall •Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ` `� (P flo.o a Occupancy .��2.C- 1 MCES System
Plan Review Code Edition Ynn ?��5' SAC Units
(25%_100%�) Zoning �_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings� Length Fire Suppression Required
Type of Construction Y$ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) �o Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: � � rM:K��� , Building Inspector
RESIDENTIAL FEES
Base Fee Z,�`XJ(s� t- S f-��pea W%7� STA:iz wr��
Surcharge �¢f
�S,00 S9• �"1.
Plan Review
MCES SAC
y i .--
Cit SAC ��S�� n C �o / � ��
Utility Connection Charge �
SS�W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158621
Date Issued:10/23/2019
Permit Category:ePermit
Site Address: 908 Jefferson Lane
Lot:2 Block: 4 Addition: Lexington Pointe 2nd
PID:10-45071-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas G Novitzki
908 Jefferson Lane
Eagan MN 55123
Platt Contracting Services Inc
21445 Palomino Dr
Prior Lake MN 55372
(612) 817-8486
Applicant/Permitee: Signature Issued By: Signature